Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Active
Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Active
Other names
Lemon Grove Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO ROMAN (CFO)
(619) 515-2300
Entity
Organization
Contact information
Practice address
7586 BROADWAY, LEMON GROVE, CA 91945-1604
(619) 515-2300
(619) 237-1856
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 237-1856
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
050000300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000300
CANCER DETECTION PROGRAM
CA
Enumeration date
05/07/2009
Last updated
02/20/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up